We hope you enjoy our physiology-based approach to hyperammonemia. Step 1 is to determine if the hyperammonemia is hepatic (90%) or extrahepatic. bit.ly/2U6M2ii
I really like the approach of teaching these topics from a physiological perspective as opposed to lists of syndromes and findings to be memorised without context. When I can put all of this together as a story, I can reason my way back to the details. Now I can look at cases and think "what process is proximally responsible for this finding" and work sequentially backward rather than feeling like I need to remember an entire textbook of illness scripts, and that big picture view of these complex systems is what draws me to medicine. You guys do a great job and your excitement about these subjects really comes through.
It's got to be Christmas because this morning I unwrapped my gift and it was the easiest yet clearest and definitely best way I've ever been taught about hyperammonemia. Thank you so much Prof Rez. 👏🏾👏🏾🇰🇪
Tremendous sir i would like to know that i am a 47year male with same clinical manifestations like frequent vomiting, sleeplessness, gastric discomfort, sometimes facial oedima wt. Loss, skin darkening confusion and constipation. What would like u to advise the comprehensive diagnostic procedure. Thanks a lot
I’m not a doctor. I’m the patient and I don’t have time to listen to you without your clothes off.😂😂😂 I’m 53 years old and not crazy hyper active insightful. Maybe I don’t want to think that but that’s what it is ill because my parents have the same grandmother too bad. Dad died before we got to talk about Hattie.
So what’s the solution? I’m currently struggling with this and it’s not fun. I lowered my protein intake significantly and started taking L ornithine. I’m freaking starving, but whenever I have any protein (specifically from meat) i get the high ammonia symptoms. Kinda at a crossroads here…
